NPI | 1528093192 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 1012) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2004005470) |
103TC0700X Psychologist, Clinical (Licence: KS LP1012) | |
Enumeration Date | 2006-07-12 |
Last Update Date | 2008-02-13 |